{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:10:17Z","timestamp":1777677017508,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T00:00:00Z","timestamp":1650326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The COVID pandemic challenged the orthopaedic mind on several fronts. 1 of them was in the management of intertrochanteric fractures. A subset of these patients refused surgical intervention during the pandemic for related reasons. Faced with the goal of early verticalisation, the senior author used pain relief as a method to facilitate early mobilisation in 23 patients with peritrochanteric fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>23 patients with stable intertrochanteric fractures received a \u03b2 6 distal sodium channel block (DSCB) and were allowed to walk from day 1 without surgery, traction or spica. The goal was to prevent complications of recumbency in this subset of patients. The basic idea of immediate mobilisation from the time of fracture was based on Sarmiento\u2019s sausage theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All the fractures united. There were no major complications. No shortening was seen in more than 50% cases and the shortening did not exceed 2\u2009cm in any case. All patients were satisfied with the outcome and had good to excellent Harris Hip Scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The block and walk method is a surprisingly satisfactory method of treatment for stable intertrochanteric fractures. It circumvents the risks of surgery whilst allowing immediate mobilisation preventing complications associated with the other modalities of fracture management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000221085490","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T03:20:36Z","timestamp":1650338436000},"page":"544-549","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early mobilisation after pain relief for conservative management for intertrochanteric fractures: a pandemic enforced innovation and its results"],"prefix":"10.1177","volume":"33","author":[{"given":"Laxmanan","family":"Prakash","sequence":"first","affiliation":[{"name":"Institute for Special Orthopaedics, Palakkad, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shabir A","family":"Dhar","sequence":"additional","affiliation":[{"name":"SKIMS MC Bemina, Kashmir, Srinagar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,19]]},"reference":[{"key":"bibr1-11207000221085490","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1713964"},{"key":"bibr2-11207000221085490","first-page":"75","volume":"10","author":"Lim SM","year":"2021","journal-title":"J Frailty Aging"},{"key":"bibr3-11207000221085490","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2020020"},{"key":"bibr4-11207000221085490","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-020-00254-6"},{"key":"bibr5-11207000221085490","unstructured":"Arvind D, Prakash L. Physiological pain portals Book, Indian Academy of Orthopaedic Surgeons, Chennai, India, 2020; 29. www.iaos.org.in"},{"key":"bibr6-11207000221085490","unstructured":"Prakash L. A revolutionary new management of Intertrochanteric fractures neck of femur, https:\/\/youtu.be\/e7W29PHIBCE (2021, accessed 5 January 2021)."},{"key":"bibr7-11207000221085490","unstructured":"Sodium Channel Blocks and Physiological pain portals. https:\/\/youtu.be\/I7s1mb13i7U,www.iaos.org.in."},{"key":"bibr8-11207000221085490","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019944"},{"key":"bibr9-11207000221085490","doi-asserted-by":"crossref","unstructured":"Buckley RE, Moran CG, Apivatthakakul T. AO principles of fracture management. 3rd ed. Stuttgart, Germany: Georg Thieme Verlag, 2018, p.774.","DOI":"10.1055\/b-0038-160811"},{"key":"bibr10-11207000221085490","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000284"},{"key":"bibr11-11207000221085490","doi-asserted-by":"publisher","DOI":"10.1177\/2151458515585321"},{"key":"bibr12-11207000221085490","unstructured":"Raman DT, Vignesh A, Swaminathan S. Closed treatment of common fractures, Sir John Charnley, Cambridge University Press, Cambridge, UK. www.cambridge.org."},{"key":"bibr13-11207000221085490","unstructured":"Sarmiento A, Prakash L, Diwaker A, et al. Biological methods of fracture management. Indian Academy of Orthopaedic Surgeons, 2020. Physiological pain portals Book, Indian Academy of Orthopaedic Surgeons, Chennai, India. www.iaos.org."}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000221085490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11207000221085490","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000221085490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:22:24Z","timestamp":1777450944000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11207000221085490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,19]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/11207000221085490"],"URL":"https:\/\/doi.org\/10.1177\/11207000221085490","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,19]]}}}